Comfort Class Registration
Welcome to NS Doulas Comfort in Pregnancy class! We're so honored to support you as you prepare to welcome a new addition to your family. We know that preparing for this special time can bring many questions and concerns, and we're proud to provide evidence based information and resources, and to support you as you make the best decisions for your family. Once registered you'll receive an email regarding details and to schedule a date.
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Name:
Phone Number:
Email address:
Home Address:
Preferred method of contact:
Preferred Day(s) to meet:
Will a support person be joining you?
Clear selection
Support Person's Name:
Prenatal Health:
These questions are optional and confidential.
Estimated Due Date:
MM
/
DD
/
YYYY
Is this your first pregnancy?
Clear selection
Are you expecting twins?
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Do you have any medical conditions during this pregnancy that might affect movement? i.e - high blood pressure, placenta previa, etc
What discomforts have you experienced during your pregnancy?
What makes you feel better when you’re stressed or not feeling well?
Is there anything else you would like to share?
How did you hear about Natural State Doulas?
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